Immediate dental implants placed into infected sites present a higher risk of failure than immediate dental implants placed into non-infected sites: Systematic review and meta-analysis
Med. oral patol. oral cir. bucal (Internet)
; 24(4): e518-e528, jul. 2019. tab, graf
Article
in English
| IBECS
| ID: ibc-185666
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Background:
Alveolar infection is known as a risk factor for implant failure. Current meta-analysis on the theme could not prove statistically that immediate dental implants placed into infected sites have a higher risk of failure than immediate dental implants placed into non-infected sites. The purpose of this meta-analysis was to determine the effectiveness of immediate dental implants placed into infected versus non-infected sites. Material andMethods:
Seven databases were sought by two reviewers. Randomized or non-randomized clinical trials that compared the placement of dental implants into infected versus non-infected sites were eligible for the study. Exclusion criteria were papers in which the survival rate was not the primary outcome; papers without a control group; studies with less than one year of follow-up; studies whose patients did not receive antibiotic therapy; studies with medically compromised patients; duplicated papers. Risk of bias assessment was performed with the Cochrane Collaboration tool.Results:
Of the 3.253 initial hits, 8 studies were included in both qualitative and quantitative synthesis (kappa = 0.90; very good agreement). Forest plot for implant failure showed that immediate implants placed into infected sites presented a statistically significant risk of failure that is almost 3 times higher than when placed into non-infected sites (risk ratio= 2.99; 95% confidence interval 1.04, 8.56; p = 0.04; 935 implants; i2 = 0%). Periimplant outcomes showed no statistical difference.Conclusions:
Immediate dental implants placed into infected sites presented a statistically significant higher risk of failure than immediate dental implants placed into non-infected sites. Periimplant outcomes were not statistically affected in this interventionRESUMEN
No disponible
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Dental Implants
/
Immediate Dental Implant Loading
Limits:
Humans
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2019
Document type:
Article
Institution/Affiliation country:
Federal University of Alagoas (UFAL)/Brazil
/
São Paulo State University (UNESP)/Brazil
/
University of Campinas/Brazil